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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Ibe undersigned understands tbat tbis perlit JaY be subject to 'deed restrictions" wbieb JaY be lOre restrictive than City
<br />regulations. !be undersigned asSUlle& responsibility for COIpliance witb any applicable deed restrictiODS.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If tbe owner bas bired a contractor or contractors to undertake wort, tbey JaY be required to be licensed in accordance witb
<br />state and local regulations. If tbe contractor is not licensed as required by law, botb tbe owner and contractor JaY be
<br />cited for a lisdelleanor violation under state law. If tbe owner or intended contractor are uncertain as to wbat licensing
<br />requiretents JaY apply for tbe intended work, tbey are advised to contact tbe City of Zepbyrbills Building Departtent, (813)
<br />788-6611.
<br />
<br />FurtberlOre, if the owner bas bired a contractor or contractors, he is advised to have tbe contractor(s) sign portions of tbe
<br />"Contractor Sections' of tbis application for wbieb tbey will be responsible. If you, as tbe owner sign as the contractor,
<br />you are indicating that you, ratber than the contractor, are responsible for tbe work. If tbe contractor wisbes you to sign
<br />as contractor tbat JaY be an indication that be is not properly licensed and is not entitled to perlitting privileges in the
<br />City of Zepbyrbills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify tbat I, tbe applicant, bave been provided witb a copy of "Florida's Construction Lien Law - JbIeowner's Protection
<br />Guide" prepared by tbe Florida Departlent of Agriculture and Cons1lller Affairs. If tbe applicant is 8OIf!OI1e other than the
<br />"owner", I certify tbat I bave obtained a copy of tbe above described dOCutent and protise in good faitb to deliver it to the
<br />"owner' prior to cOlleDceaent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify tbat all the inforlation in tbis application is accurate and that all work will be done in cOlpliance witb all
<br />applicable laws regulating construction, loning, and land developtent.
<br />
<br />Application is hereby tade to obtain a pertit to do work and insWlation as indicated. I certify that no wort or
<br />installation bas CDleDced prior to issuance of a pertit and that all wort will be perforted to Jeet standards of all laws
<br />regulating construction, City codes, loning regulations, and land developtent regulations in tbe jurisdiction. I also
<br />certify tbat I understand tbat tbe regulations of other govemtental agencies JaY apply to the intended work, and that it is
<br />If responsibility to identify wbat actions I lUSt tate to be in cotpliance. Sueb agencies include but are not litited to:
<br />A Departlent of BnvirODleDtal Requlation - Cypress Baybeads, Wetland Areas and Invirouentally Sensitive Lands,
<br />Water /Wastewater lreattent
<br />A Southwest Florida Water Hanagetent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />A ArtY Corps of Engineers - Seawalls, Docks, lavigable Watenays
<br />t Departlent of Healtb & Rehabilitative Services, Environtental Healtb Unit - Wells, Wastewater Ireattent, Septic !ants
<br />A US Bnvirontental Protection Agency - Asbestos abatetent
<br />I also certify that, if fill Jaterial is to be used in Flood ZOne "A' or "A,etc.', it is understood that a drainage plan
<br />addressing a 'Cl1IpeDSating volute' will be subtitted wbieb is prepared by a professional engineer registered in the State of
<br />Florida prior to perait issuance.
<br />
<br />A pertit issued shall be construed to be a license to proceed with tbe work and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a pertit prevent the Building Official frot thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Bvery pertit issued shall becoIe invalid
<br />unless tbe wort authoriled by sueb pertit is COIIllDced witbin sillODtbs of issuance, or if work authoriled by the pertit is
<br />suspended or abandoned for a period of sillODtbs after the tite the wort is COIIllJ1ced. One 90 day eltension of tite, Jay be
<br />allowed for tbe pertit witb fee charge of $15.00. Ibe extension shall be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during eaeb sillODtb period, or tbe project will be considered abandoned.
<br />IfARMUG 10 mIIBR: YOUR FAILURI 10 RBCORD A IOIICE OF C(IfIIDCElllHlIlAY RBSULI II YOUR PAYIIG lllICE FOR DIPROVIIIDIS 10 YOUR
<br />PROPBR'IY. IF YOU IIImD 10 081111 FIIAlCIRG, COKSULI WIIH YOUR LIIDBR OR All AfIOIIIBY BBFORB RBCORDIRG YOUR DICE OF
<br />COMMBICEHBlft'. JOBS UlfDIR '2,500 II VALUB 00 101 IBID 10 RBCORD AID POSI A "IOIICE OF C(llMBNCEMBMf'.
<br />
<br />
<br />~~~ sliV~
<br />
<br />SIAII OF FLORIDA
<br />COUIfY OF Pasco
<br />The foregoing instrument was acknowledged
<br />before me this Jan. 21st , 19 94 by
<br />
<br />Ja~es R, Critcherson
<br />
<br />who is personally known to me or who has
<br />produced Florida D/L
<br />as identification:and who did/did not
<br />
<br />t~~~,d,~
<br />
<br />(Signature}j}'~~ PAT ~S.8~
<br />_ ~ ~ COMMlSSiOtf fI CC 1691<<) EXPIfIES
<br />(Name Typed te&B~....
<br />NOTARY PUBLI .
<br />
<br />SIAII OF FLORIDA
<br />COUIfY OF 'P as co
<br />The foregoing inst~t was aC~ledged
<br />before me thi~, 19 by
<br />
<br />6~~ \-hlfon
<br />who is Bonally known to me or who has
<br />produced
<br />as identificatio
<br />take ..
<br />
<br />
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